Our ABA billing solution
Missing Piece ABA Billing provides a comprehensive revenue cycle solution that manages every aspect of the billing and collection process for you. No matter the scale of your practice, our team is here to help so you can focus on what’s important—providing the highest quality patient care.
Our revenue cycle management model
Implementation
- Comprehensive implementation and transition support including contract analysis, existing patient benefit verification and cleanup, and preference configuration to ensure uninterrupted operations
- Quality assurance testing and thorough account preparation before handoff to the Operations Team, ensuring smooth management of your account
- Onboarding of your team to our practice management software for improved efficiency and accuracy
Credentialing & Contracting
- Provider credentialing management including submission of clinician information to payers, securing discipline contracts, and tracking re-credentialing requirements
- Ongoing contract administration including regular updates to ensure compliance with payer requirements
- Maintenance of electronic remittance advice and electronic funds transfer (ERA/EFT) to ensure accurate payment processing and allocation
Eligibility & Benefits
- Comprehensive verification of benefits to ensure compliance and appropriate use of applied behavior analysis (ABA) codes
- Expert guidance on patient intake documentation to meet ABA service requirements
- Optional patient communication services to explain benefit details including financial responsibilities (deductibles, copays, out-of-pocket maximums)
Pre-Authorization
- End-to-end authorization services for ABA assessments and treatments (including ABA Therapy, speech, occupational and physical therapy), including managing appeals for denials
- Provider updates on payer-specific treatment plan guidelines to ensure proper reimbursement
- Proactive tracking of authorization usage and expiration dates with timely re-authorization to maintain continuity of care
Claims Management
- Accelerate reimbursement with advanced payment processing systems
- Ensure full compliance with all payer-specific billing requirements
- Implement proactive claim monitoring to prevent revenue disruption
Remittance Posting
- Establish automated ERA/EFT systems to streamline payment processing and eliminate paperwork
- Resolve reasons for payment denials including non-contractual adjustments, unexpected patient balances, and underpayments
Accounts Receivable Follow-up
- Obtain maximum reimbursement for your services from health insurance providers
- Provide expert advocacy to protect provider and patient financial interests
- Capture additional revenue through specialized recovery processes that extend beyond standard collection methods
Appeals Management
- Successfully overturn denials and collect payments that rightfully belong to you
- Leverage our knowledge of ABA medical necessity policies for your benefit
- Determine payer-specific appeal policies and provide guidance on your behalf
Patient Billing
- Deliver exceptional patient experiences through compassionate interactions and tailored communication strategies
- Implement customized payment solutions with flexible options based on individual financial circumstances
- Optimize patient satisfaction and revenue collection through streamlined processes and superior customer service
Additional Services
Our expertise extends to these services that many providers offer in parallel with ABA therapy:
Speech & Occupational Therapy
Behavioral Health Services
Telehealth
- Secure specialized therapy contracts that maximize coverage for your speech and occupational therapy practice
- Navigate therapy authorization requirements with ease, ensuring treatment plans receive timely approval
- Simplify benefits verification to optimize reimbursement while focusing on patient care
- Provide clear guidance on private insurance considerations, helping you make informed decisions for your practice
- Streamline billing processes for all behavioral health specialists, including BCBAs, LMHCs, LCSWs, and doctoral-level providers
- Navigate telehealth regulations and maximize reimbursement opportunities with expert guidance tailored to your practice
- Simplify telehealth implementation with comprehensive eligibility verification, authorization management, and specialized billing support
Delivering measurable, proven outcomes
$1B+
in ABA Billing Claims in 2024
92%
gross collection rate within the first three months
99%
clean claim rate
Benefits of working with us
Get maximum reimbursement, faster
Our experts ensure correct coding standards for insurance providers, helping you avoid costly errors and resubmission fees while accelerating claims collection through streamlined processes.
Grow your practice with peace of mind
Insurance requirements for ABA therapy constantly evolve, creating reimbursement challenges and complexity. Outsourced billing partners scale with your growth more efficiently than in-house teams.
More time for patient care, with less overhead
We free you from administrative burdens, allowing you to focus on patient care while avoiding in-house billing department costs—you only pay when insurance pays you.
We came from a billing company that we struggled with so much, and moving over to your company has been an absolutely fantastic experience. I cannot say enough good things about you. It’s such a relief to know that we are truly being taken care of, which allows us to focus on serving our families and kiddos, our life’s work.
I also want to give a big shout-out to Brandon for being amazing in answering all of our questions and helping us with anything we’ve needed. Overall, I just wanted to tell you how much we appreciate you. Thank you so much for all that you do!”
Missing Piece ABA Billing delivers. Your problems are solved before you even notice, and you benefit from knowledge gained by Missing Piece via other clients’ problems even before they are yours to suffer. They are ahead of the game at every turn, be it denials for improperly reviewed claims, contracting issues, or auth utilization, they have you covered.”
I wanted to express my sincere gratitude for all the time and attention you and the entire team have provided. We are in a significantly better place than we were a few months ago, and I feel like we are almost out of the woods! Each of you have provided guidance and your dedication has been instrumental in helping us overcome the recent financial challenges and achieve this positive turnaround. We are almost where we need to be and I couldn't have done it without you. Thank you all so so much.”
Discover how Missing Piece ABA Billing can transform your ABA practice and boost your bottom line.
Expert support from a team specializing in ABA therapy billing
More time to focus on your patients—not paperwork
Insights and guidance whether you're just starting or scaling up